ENTYVIO® (Vedolizumab)
Order Form

ENTYVIO® (cabotegravir)

ENTYVIO® is a prescription infusion medication used to treat adults with moderate to severe ulcerative colitis and moderate to severe Crohn’s disease when traditional medications have not yielded results or cannot be tolerated by the patient. Infusions should be administered for approximately 30 minutes. Repeat treatments at two and six weeks — then every eight weeks thereafter. Each infusion treatment should be monitored through its duration.

Please refer to ENTYVIO’s full Prescribing Information.

Note: Please speak with your healthcare provider for more information if you think this therapy might be right for you.

How do I make a referral or transition my treatment to Infusion Associates?

1. Ask your healthcare provider to fax us a completed order form for your medication, clinical notes, demographics and your insurance card to (833) 996-4888.

2. Providers can find order forms on our medications page.

3. One of our intake specialists will contact your healthcare provider to confirm receipt of your referral.

4. We will then verify benefits, obtain any required prior authorizations, and contact you to schedule an appointment.